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CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(01): e101-e106
DOI: 10.1055/s-0043-1767800
Original Research

Outcomes of Injection Laryngoplasty for Deep Interarytenoid Groove[*]

Kelsey H. Mothersole 
1   Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States
,
Seckin O. Ulualp 
1   Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States
2   Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States
,
Romaine F. Johnson
1   Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States
2   Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States
,
Ashley F. Brown
2   Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States
,
Gopi B. Shah
1   Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States
2   Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States
,
Christopher C. Liu
1   Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States
2   Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States
,
Stephen R. Chorney
1   Department of Otolaryngology, Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States
2   Division of Pediatric Otolaryngology, Children's Medical Center, Dallas, TX, United States
› Author Affiliations Funding The author(s) received no financial support for the research.
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Abstract

Introduction Deep interarytenoid groove (DIG) may cause swallowing dysfunction in children; however, the management of DIG has not been established.

Objective We evaluated the subjective and objective outcomes of interarytenoid augmentation with injection in children with DIG.

Methods Consecutive children under 18 years of age who underwent injection laryngoplasty for DIG were reviewed. Data pertaining to demographics, past medical history, past surgical history, and results of pre and postoperative video fluoroscopic swallow study (VFSS) were obtained. The primary outcome measure was the presence of thin liquid aspiration or penetration on postoperative VFSS. The secondary outcome measure was caregiver-reported improvement of symptoms.

Results Twenty-seven patients had VFSS before and after interarytenoid augmentation with injection (IA). Twenty (70%) had thin liquid penetration and 12 (44%) had thin liquid aspiration before the IA. Thin liquid aspiration resolved in 9 children (45%) and persisted in 11 (55%). Of the 12 children who had thin liquid aspiration prior to IA, 6 (50%) had resolution of thin liquid aspiration after IA.

Conclusions Injection laryngoplasty is a safe tool to improve swallowing function in children with DIG. Further studies are needed to assess the long-term outcomes of IA and identify predictors of successful IA in children with DIG.

Keywords

interarytenoid groove - injection laryngoplasty - children - dysphagia - endoscopic repair

Financial Disclosure

The authors have no financial relationships to disclose.


* Presented at the Annual Meeting of American Society of Pediatric Otolaryngology, April 29, May 1, 2022, Dallas, Texas.




Publication History

Received: 21 August 2022

Accepted: 02 February 2023

Article published online:
06 October 2023

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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